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目的探讨米索前列醇对宫缩乏力性产后出血的治疗效果。方法选择2006年9月—2008年9月我科正常阴道分娩的102例孕产妇,随机分为米索前列醇组及催产素组进行试验,以检验米索前列醇肛塞用于预防产后出血的临床效果。结果 2组产妇在不同阶段出血量有显著性差异,米索前列醇组在各个时间段均比催产素组出血量少(P<0.001);2组产妇肛门排气时间差异有显著性,米索前列醇组产后肛门排气早于催产素组(P<0.05)。结论应用米索前列醇肛塞可作为替代传统催产素防治产后出血的有效方法及新的选择。
Objective To investigate the therapeutic effect of misoprostol on postpartum hemorrhage with uterine inertia. Methods Seventy two pregnant women undergoing normal vaginal delivery in our department from September 2006 to September 2008 were randomly divided into misoprostol group and oxytocin group to test whether misoprostol was used to prevent postpartum hemorrhage The clinical effect. Results The bleeding volume of the two groups was significantly different in different stages. The misoprostol group had less blood loss than the oxytocin group at each time point (P <0.001). There was significant difference in anal exhaust time between the two groups Analgesic alcohol group anal exhaust after the early oxytocin group (P <0.05). Conclusion The application of misoprostol anal plug can be used as an alternative to traditional oxytocin effective prevention and treatment of postpartum hemorrhage and a new option.